Center for Advanced Prosthodontics and Implant Dentistry, University of Concepcion, Concepcion, Chile.
Implant Dent. 2012 Aug;21(4):287-94. doi: 10.1097/ID.0b013e31825cbcf8.
Extraction and immediate implant placement has become routine procedure due to reduced treatment time and the preservation of anatomical structures. However, in many cases, this technique involves teeth with different degrees of tissue compromise due to underlying infections. Until now, the degree of implant compromise has not been described, nor has a clinical management protocol been established for these cases. The aim of this article is to report the clinical results of a protocol used for immediate implant placement and provisionalization in infected extraction sockets. A classification of the implant surface compromise (in contact with previously infected tissue) is also described to facilitate the comparative analysis. It is possible to maintain the benefits of immediate implant placement and provisionalization in infected sites by applying a clinical protocol that considers antibiotic therapy, a thorough curettage of the infected tissue, antisepsis, and sufficient primary implant stability.
由于治疗时间缩短和解剖结构的保留，提取和即刻植入已成为常规程序。然而，在许多情况下，由于潜在感染，这种技术涉及到不同程度组织受损的牙齿。到目前为止，还没有描述植入物受损的程度，也没有为这些病例建立临床管理方案。本文的目的是报告用于感染拔牙窝即刻植入和临时修复的方案的临床结果。还描述了一种植入物表面损伤（与先前感染的组织接触）的分类，以方便比较分析。通过应用一种临床方案，可以在感染部位保持即刻植入和临时修复的好处，该方案考虑了抗生素治疗、彻底清除感染组织、消毒和足够的初始植入物稳定性。
